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Attention: current, former, & potential clients...
If you are working with me, or have worked with me in the past and I become inaccessible to you (due to death, disability, geographic move, etc.), please refer to this web site, www.CollectivePerspectiveCounseling.com, for up-to-date contact informtion for accessing your records.
In the event of my death or serious disability, records custodians have been designated to make sure you may gain access to your records if needed. Another mental health professional has been designated to address any counseling needs you may have at that time. Your information will not be made available to the records custodians or mental health professional except in the event of my death or serious disability. If you are actively working with me at the time, a records custodian will contact you to inform you of the situation and provide you with options.
Please contact me with any questions you have regarding this issue. This is a matter of your privacy, access to your records, and continued services. If you have questions, I want to discuss them with you.
To Make an Online Payment (please read instructions completely)
I use the secure payment processing services of ProfessionalCharges.com to handle my online Debit and Credit Card payments.
- Click on the "Make a Payment" link below, and the payment form will open in a new window.
- Enter your name as it appears on your card.
- Insert my License Number LPC7065 in the space for the Provider's License Number.
- Complete the form and click on the Submit Payment or Next button at the bottom.
- Print yourself a copy of the receipt that will appear on the screen.
Collective Perspective Counseling
201 NE 13th St.
Beresford, SD 57004
(605) 321-0826
Counseling * Relief from Depression and Anxiety * Mindfulness * Better Relationships * Personal Growth * Wellness for Mind - Body - Spirit
Submissions made with this form are NOT encrypted and are received via email. Users are encouraged to share only
information you might share on a postcard through the mail. Please do not use this form for emergencies.
201 NE 13th St.
Beresford, SD 57004
(605) 321-0826
Collective Perspective Counseling
Explore the solutions - Experience the relief
